EP0984811A1 - Systeme d'insertion destine au placement et a l'assemblage endovasculaire d'un stent a couches multiples - Google Patents

Systeme d'insertion destine au placement et a l'assemblage endovasculaire d'un stent a couches multiples

Info

Publication number
EP0984811A1
EP0984811A1 EP99909659A EP99909659A EP0984811A1 EP 0984811 A1 EP0984811 A1 EP 0984811A1 EP 99909659 A EP99909659 A EP 99909659A EP 99909659 A EP99909659 A EP 99909659A EP 0984811 A1 EP0984811 A1 EP 0984811A1
Authority
EP
European Patent Office
Prior art keywords
stent
stent device
sheath
stage
stents
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP99909659A
Other languages
German (de)
English (en)
Other versions
EP0984811A4 (fr
Inventor
Howard J. Leonhardt
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Vascular Inc
Original Assignee
World Medical Manufacturing Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by World Medical Manufacturing Corp filed Critical World Medical Manufacturing Corp
Publication of EP0984811A1 publication Critical patent/EP0984811A1/fr
Publication of EP0984811A4 publication Critical patent/EP0984811A4/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2002/825—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having longitudinal struts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2002/828—Means for connecting a plurality of stents allowing flexibility of the whole structure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0076—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof multilayered, e.g. laminated structures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body
    • A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0058—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements soldered or brazed or welded
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0066—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements stapled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/0054—V-shaped

Definitions

  • the present invention generally relates to the area of blood vessel graft systems. More particularly, the present invention provides a catheter base delivery device for deployment of multi-stage stented grafts comprising multiple coaxial delivery mechanisms.
  • the coaxial delivery device enables the multiple stages of a stented graft to be assembled endovascularly.
  • aneurysms entailed removing part or all of the aneurysm and implanting a replacement prosthetic section into the lumen.
  • a synthetic or biomaterial graft is sutured end-to-end completely replacing the excised portion of the blood vessel.
  • surgical treatment or removal of the aneurysm involves significant invasive techniques, extended hospitalization and associated risk of complications. Complications include extensive blood loss, respiratory tract infections, wound infections, and renal failure. In addition, the mortality rates (8%) are significant for such surgeries.
  • a more contemporary method of treatment of aneurysms is to place a graft within the lumen of the weakened blood vessel via a catheter based device.
  • Conventional tubular aortic replacement sections are generally larger in diameter than the femoral artery and therefore can not be inserted through the lumen of the femoral artery.
  • the basic concept of a transluminal placement of an endovascular prosthesis for decreasing risk associated with the surgical repair of aortic aneurysms was proposed by Dotter (1969, Invest Radiol. 4:329-332). Since then, several investigators have studies the feasibility of different endovascular devices. For example Lazarus (U.S. Patent No.
  • 5,669,936 discloses a graft system having a capsule catheter that is deployed after femoral arteriotomy.
  • stent-grafts used clinically for treatment of abdominal and thoracic aortic aneurysms have required 18-F to 30-F delivery systems.
  • the large size of the delivery system necessitated surgical femoral arteriotomy and sometimes retroperitoneal left iliac arteriotomy or distal aorta aortotomy, general anesthesia, and high levels of multidisciplinary cooperation.
  • the system includes a single stage graft comprised of two Nitinol springs.
  • the two Nitinol springs are in physical communication with each other via a Nitinol connecting bar and are embedded in graft material at each end and covered completely by material so as to prevent direct exposure to bodily fluids or tissues.
  • the graft is deployed by using an elongated sheath introducer having an axially extending sheath passage for receiving the graft and maintaining it in a compressed condition.
  • a flexible push rod around the insertion catheter and within the sheath passage is used to push the graft out of the sheath during deployment.
  • one way to decrease the size of an endovascular device is to deploy the stented graft as separate parts.
  • none of the delivery devices available are suitable for delivery of a multi-stage stented graft by a single percutaneous insertion. There is thus, an ongoing need for graft delivery devices for treatment of aneurysms which requires minimal preparation and hospitalization.
  • the present invention provides a multi-stage stented graft that is easily introduced and implanted by percutaneous insertion for the treatment of aneurysms, and which circumvents the need for suturing or stapling to the wall of the blood vessel.
  • the various stages of the stented graft are assembled endovascularly. Accordingly, it is an object of the invention to provide a multistage stented graft for implantation into blood vessels.
  • Yet another object of the present invention is to provide a method for deployment of a multi-stage stented graft using a multiple coaxial delivery device, wherein the stented graft is assembled endovascularly from the multiple stages.
  • a still further object of the present invention is that the stented graft serves as a substrate for the growth of cells, lining the lumen of the blood vessels in the area of an aneurysm.
  • Fig. 1 is a perspective view of a two-stage stented graft 10 of the present invention.
  • Fig. 2 A is a perspective view of a first stage anchoring stent 12 of the two- stage stented graft shown in Fig. 1.
  • Fig. 2B is a perspective view of a second stage scaffolding stent 14 of the two-stage stented graft shown in Fig. 1.
  • Fig. 2C is a perspective view of the supporting frame 22 of the first stage of the stented graft shown in Fig. 1.
  • Fig. 2D is a magnified view of a portion of the supporting frame 22 shown in Fig. 1C illustrating the use of a single Nitinol wire for creating the frame.
  • Fig. 3 is a perspective view of a portion of the delivery device for the two- stage stented graft of the present invention.
  • Fig. 4 A is a perspective view of a hollow foamed tube 100.
  • Fig. 4B is a cross-sectional view along line 4B-4B of Fig. 4A.
  • endovascular stented grafts must meet certain strength and durability requirements, the goal of reducing their size profile by decreasing the size of their components is limited. By assembling the components of a stented graft endovascularly, the size of the delivery device is reduced without compromising flexibility.
  • the first embodiment of a stented graft of the present invention will be described in detail herein as a two-stage device. However, the present invention is not intended to be so limited and those skilled in the art after having read this specification will readily recognize that two or more stages are within the scope of the present invention.
  • a delivery device for the stented graft is also described. The delivery device enables the stented graft to be introduced into the vasculature through a single percutaneous insertion for subsequent endovascular assembly.
  • Fig. 1 shows a fully assembled two-stage stented graft 10 according to the present invention comprising a first stage anchoring stent 12 (Fig. 2 A) and a second stage scaffolding stent 14 (Fig. 2B).
  • the anchoring stent 12 comprises a tubular graft 16 having an annular side wall extending to opposed open ends 18 and 20 and a support frame 22 (Fig. 2C).
  • the synthetic material for the tubular graft 16 is pliable enough to substantially conform to the interior surface of a blood vessel being treated. Suitable synthetic materials include, but are not limited to, woven polyester, polytetrafluoroethylene (PTFE), microporous urethane, nylon and lycra.
  • a preferred fabric material is polyester.
  • the support frame 22 comprises a spaced apart first stent 24 and a second stent 26 connected to each other by a longitudinal bar 28. If desired, more than one connecting bar is provided.
  • the stents 24 and 26 and the connecting bar 28 can be made as separate parts that are subsequently secured to each other by bands 30 or by welding and the like.
  • the first and second stents 24, 26 and the intermediate connecting bar 28 can be made of a single wire 32 that is bent or otherwise formed to shape with its terminal ends 34 and 36 (shown in dashed lines in Fig. 2D) disposed proximate to each other and secured in place by a metal band 38. The ends of the wire 32 can also be welded together to complete the construction.
  • the size of the delivery device needed for placement of a self-expanding stented graft made of serpentine or Z-shaped undulations is determined by several factors. One is the required amount of radial force exerted by the stent. It is known that the radial force of a stent is an increased by increasing the size of the stent wire and/or the number of bends (Fallone et al, 1988, Invest. Radiol. 23:370-376). This means that a stent made of a larged diameter wire or having an increased number of bends requires a larger delivery device because the compressed diameter of the stent is also increased. Another factor influencing the required size of the delivery device is the diameter of the recipient blood vessel.
  • the double coaxial device 60 comprises two independent first and second coaxial delivery sheaths.
  • the first or proximal sheath 62 provides for the deployment of the first stage anchoring stent 12 shown in Fig. 2 A, while the distal or second sheath 64 provides for deployment of the scaffolding stent 14 within the lumen of the deployed anchoring stent. - 11 -
  • the frusto-conical member 78 is separate from stopper 70 and is preferably a tapered portion of the second sheath 64 that forms into the catheter 80.
  • the catheter 80 surrounds the pusher/holder wire 74 in a closely-spaced relationship and extends to a proximal end 82 adjacent to a proximal end 84 of the first sheath 62.
  • the proximal end 66 of the second sheath 64 is received inside the distal open end 86 of the first sheath 62 and in a movable relationship therewith.
  • the anchoring stent 12 is housed inside the first sheath 62 in a surrounding relationship with the catheter 80.
  • the anchoring stent 12 is retained in this position by the frusto-conical member 78 and a pusher tube 88 sized to movably fit inside the first sheath 62.
  • the catheter 80 is moved through the lumen of the anchoring stent 12 with the first stent 24 of the support frame 22 adjacent to the frusto-conical member 78.
  • the first sheath 62 is then moved over the anchoring stent 12.
  • the scaffolding stent 14 is positioned on the pusher/holder wire 74 intermediate the stoppers 72, - 12 -
  • the catheter 80 including the frusto-conical member 78 and the second sheath 64 are moved down the pusher/holder wire 74 until the distal open end 68 of the second sheath 64 abuts the distal stopper 72.
  • the scaffolding stent 14 and the second sheath 64 are now coaxial with the pusher /holder wire 74.
  • the first sheath 62, anchoring stent 12 and the catheter 80 are coaxial with the pusher/holder wire 74 and the distal open end 86 of the first sheath 62 surrounds the proximal end 64 of the second sheath 64.
  • the pusher tube 88 is moved over the pusher/holder wire 74 until its distal end is coaxial with and intermediate the distal open end 86 of the first sheath 62 and the proximal end 82 of the catheter 80.
  • the scaffolding stent 14 is moved in a proximal direction until it is centered between the stents 24, 26 of the anchoring stent 12.
  • the scaffolding stent 14 is now deployed by moving the catheter 80 in a proximal direction until the scaffolding stent 14 abuts the stationary stopper 70.
  • the catheter 80 is connected to the second sheath 64 by the frusto-conical member 78 and proximal movement of catheter 80 results in proximal movement of the second sheath 64 and the associated scaffolding stent 14.
  • the second sheath 64 is moved in a - 13 -
  • each of the anchoring stent 12 and the scaffolding stent 14 are deployed inside of the vasculature alone they will each exert a radial force of about 200 units of force, for example.
  • the combined radial force of the two forming the stented graft is at least about 80% of their combined radial force, or at least about 320 units of radial force. This increased radial force is provided without decreasing fatigue life.

Abstract

L'invention concerne un stent à couches multiples (10) destiné à être implanté dans un vaisseau sanguin. Chaque couche peut comporter des stents radialement compressibles (24, 26) munis ou dépourvus d'une enveloppe textile. Chaque couche peut également comporter un tube en mousse. Les couches multiples peuvent également être recouvertes d'une couche adhésive. Le stent à couches multiples (10) et les couches adhésives fournissent une surface permettant l'interposition de cellules et favorisent la cicatrisation. L'invention concerne également un système d'insertion coaxiale destiné à l'insertion et à l'assemblage endovasculaire dudit stent à couches multiples (10) au cours d'une seule intromission dans le système vasculaire.
EP99909659A 1998-02-26 1999-02-26 Systeme d'insertion destine au placement et a l'assemblage endovasculaire d'un stent a couches multiples Withdrawn EP0984811A4 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US7638398P 1998-02-26 1998-02-26
US76383P 1998-02-26
PCT/US1999/004322 WO1999043378A1 (fr) 1998-02-26 1999-02-26 Systeme d'insertion destine au placement et a l'assemblage endovasculaire d'un stent a couches multiples

Publications (2)

Publication Number Publication Date
EP0984811A1 true EP0984811A1 (fr) 2000-03-15
EP0984811A4 EP0984811A4 (fr) 2005-03-09

Family

ID=22131662

Family Applications (2)

Application Number Title Priority Date Filing Date
EP99908586.3A Expired - Lifetime EP1061985B1 (fr) 1998-02-26 1999-02-26 Systeme permettant le deploiement et l'assemblage endovasculaire d'un stent a greffer multi-etages
EP99909659A Withdrawn EP0984811A4 (fr) 1998-02-26 1999-02-26 Systeme d'insertion destine au placement et a l'assemblage endovasculaire d'un stent a couches multiples

Family Applications Before (1)

Application Number Title Priority Date Filing Date
EP99908586.3A Expired - Lifetime EP1061985B1 (fr) 1998-02-26 1999-02-26 Systeme permettant le deploiement et l'assemblage endovasculaire d'un stent a greffer multi-etages

Country Status (5)

Country Link
US (3) US6280467B1 (fr)
EP (2) EP1061985B1 (fr)
AU (1) AU2881699A (fr)
CA (1) CA2321204C (fr)
WO (2) WO1999043378A1 (fr)

Families Citing this family (399)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6051020A (en) 1994-02-09 2000-04-18 Boston Scientific Technology, Inc. Bifurcated endoluminal prosthesis
US5609627A (en) * 1994-02-09 1997-03-11 Boston Scientific Technology, Inc. Method for delivering a bifurcated endoluminal prosthesis
US7959664B2 (en) * 1996-12-26 2011-06-14 Medinol, Ltd. Flat process of drug coating for stents
US20090239940A1 (en) * 1997-07-22 2009-09-24 Del Monte Federica Treating heart failure and ventricular arrhythmias
US6395019B2 (en) 1998-02-09 2002-05-28 Trivascular, Inc. Endovascular graft
US6280467B1 (en) * 1998-02-26 2001-08-28 World Medical Manufacturing Corporation Delivery system for deployment and endovascular assembly of a multi-stage stented graft
US6077296A (en) 1998-03-04 2000-06-20 Endologix, Inc. Endoluminal vascular prosthesis
US6176864B1 (en) * 1998-03-09 2001-01-23 Corvascular, Inc. Anastomosis device and method
JP4399585B2 (ja) * 1998-06-02 2010-01-20 クック インコーポレイティド 多辺管内医療器具
US7452371B2 (en) * 1999-06-02 2008-11-18 Cook Incorporated Implantable vascular device
WO1999065419A1 (fr) * 1998-06-19 1999-12-23 Endologix, Inc. Prothese endovasculaire bifurquee a dilatation automatique
EP1447057A1 (fr) * 1998-09-30 2004-08-18 Bard Peripheral Vascular, Inc. Mécanisme de mise en place d'extenseur implantable
US6660030B2 (en) 1998-12-11 2003-12-09 Endologix, Inc. Bifurcation graft deployment catheter
US6733523B2 (en) 1998-12-11 2004-05-11 Endologix, Inc. Implantable vascular graft
US6187036B1 (en) 1998-12-11 2001-02-13 Endologix, Inc. Endoluminal vascular prosthesis
ATE303107T1 (de) 1998-12-11 2005-09-15 Endologix Inc Endoluminale vaskuläre prothese
US7018401B1 (en) 1999-02-01 2006-03-28 Board Of Regents, The University Of Texas System Woven intravascular devices and methods for making the same and apparatus for delivery of the same
US6261316B1 (en) 1999-03-11 2001-07-17 Endologix, Inc. Single puncture bifurcation graft deployment system
US8034100B2 (en) 1999-03-11 2011-10-11 Endologix, Inc. Graft deployment system
EP1173110B1 (fr) 1999-04-15 2009-07-08 Smart Therapeutics, Inc. Stent intravasculaire pour traitement de lesion d'un vaisseau neurovasculaire
US6899730B1 (en) 1999-04-15 2005-05-31 Scimed Life Systems, Inc. Catheter-stent device
US6440161B1 (en) 1999-07-07 2002-08-27 Endologix, Inc. Dual wire placement catheter
US6344052B1 (en) * 1999-09-27 2002-02-05 World Medical Manufacturing Corporation Tubular graft with monofilament fibers
US6383171B1 (en) * 1999-10-12 2002-05-07 Allan Will Methods and devices for protecting a passageway in a body when advancing devices through the passageway
JP2003521971A (ja) * 1999-10-12 2003-07-22 ウィル，アラン アール 体内の通路を保護する方法および装置
US6733513B2 (en) 1999-11-04 2004-05-11 Advanced Bioprosthetic Surfaces, Ltd. Balloon catheter having metal balloon and method of making same
US6936066B2 (en) * 1999-11-19 2005-08-30 Advanced Bio Prosthetic Surfaces, Ltd. Complaint implantable medical devices and methods of making same
US8458879B2 (en) 2001-07-03 2013-06-11 Advanced Bio Prosthetic Surfaces, Ltd., A Wholly Owned Subsidiary Of Palmaz Scientific, Inc. Method of fabricating an implantable medical device
US6936065B2 (en) * 1999-11-22 2005-08-30 Cordis Corporation Stent delivery system having a fixed guidewire
US20060069423A1 (en) * 1999-11-22 2006-03-30 Fischell David R Means and method for treating an intimal dissection after stent implantation
CA2397746C (fr) * 2000-02-03 2010-07-27 Cook Incorporated Dispositif vasculaire implantable
JP2003521334A (ja) * 2000-02-04 2003-07-15 ウィルソン−クック メディカル インコーポレイテッド ステントイントロデューサ装置
DE60118657T2 (de) * 2000-02-07 2007-04-05 S & G Biotech Inc. Blutgefässtransplantat und transplantateinführgerät
US7220276B1 (en) * 2000-03-06 2007-05-22 Surmodics, Inc. Endovascular graft coatings
US6695875B2 (en) * 2000-03-14 2004-02-24 Cook Incorporated Endovascular stent graft
US6964676B1 (en) 2000-04-14 2005-11-15 Scimed Life Systems, Inc. Stent securement system
US8632583B2 (en) 2011-05-09 2014-01-21 Palmaz Scientific, Inc. Implantable medical device having enhanced endothelial migration features and methods of making the same
US6572646B1 (en) * 2000-06-02 2003-06-03 Advanced Cardiovascular Systems, Inc. Curved nitinol stent for extremely tortuous anatomy
WO2002005888A1 (fr) 2000-06-30 2002-01-24 Viacor Incorporated Filtre intravasculaire avec mecanisme de piegeage de debris
US6743219B1 (en) 2000-08-02 2004-06-01 Cordis Corporation Delivery apparatus for a self-expanding stent
AU2001285078A1 (en) 2000-08-18 2002-03-04 Atritech, Inc. Expandable implant devices for filtering blood flow from atrial appendages
JP4532070B2 (ja) * 2000-11-17 2010-08-25 エビーシオ・メディカル・デバイセズ・ユーエルシー 脈管内人工補綴物
DE10060443A1 (de) * 2000-11-29 2002-06-06 Biotronik Mess & Therapieg Stent aus menschlichem oder tierischem Gewebe
US8038708B2 (en) 2001-02-05 2011-10-18 Cook Medical Technologies Llc Implantable device with remodelable material and covering material
EP1258230A3 (fr) 2001-03-29 2003-12-10 CardioSafe Ltd Dispositif de cathéter à ballon
EP1389975A4 (fr) * 2001-04-26 2009-08-26 Vascular Innovation Inc Dispositif endoluminal et procede de fabrication dudit dispositif
US20050021123A1 (en) 2001-04-30 2005-01-27 Jurgen Dorn Variable speed self-expanding stent delivery system and luer locking connector
US7780693B2 (en) * 2001-06-27 2010-08-24 Salviac Limited Catheter
US7789860B2 (en) 2001-06-27 2010-09-07 Salviac Limited Catheter for delivery and/or retrieval of a medical device
EP3072479B1 (fr) * 2001-06-27 2018-09-26 Salviac Limited Catheter
US20030125751A1 (en) * 2001-06-27 2003-07-03 Patrick Griffin Catheter
US6786919B1 (en) * 2001-07-10 2004-09-07 Endovascular Technologies, Inc. Self-expanding intravascular device with protector members
GB0121980D0 (en) 2001-09-11 2001-10-31 Cathnet Science Holding As Expandable stent
US6752825B2 (en) * 2001-10-02 2004-06-22 Scimed Life Systems, Inc Nested stent apparatus
US20030074055A1 (en) * 2001-10-17 2003-04-17 Haverkost Patrick A. Method and system for fixation of endoluminal devices
US7137993B2 (en) 2001-12-03 2006-11-21 Xtent, Inc. Apparatus and methods for delivery of multiple distributed stents
US7270668B2 (en) * 2001-12-03 2007-09-18 Xtent, Inc. Apparatus and methods for delivering coiled prostheses
US7147656B2 (en) 2001-12-03 2006-12-12 Xtent, Inc. Apparatus and methods for delivery of braided prostheses
US7294146B2 (en) 2001-12-03 2007-11-13 Xtent, Inc. Apparatus and methods for delivery of variable length stents
US20040186551A1 (en) 2003-01-17 2004-09-23 Xtent, Inc. Multiple independent nested stent structures and methods for their preparation and deployment
US7182779B2 (en) 2001-12-03 2007-02-27 Xtent, Inc. Apparatus and methods for positioning prostheses for deployment from a catheter
US20030135266A1 (en) * 2001-12-03 2003-07-17 Xtent, Inc. Apparatus and methods for delivery of multiple distributed stents
US8080048B2 (en) 2001-12-03 2011-12-20 Xtent, Inc. Stent delivery for bifurcated vessels
US7351255B2 (en) 2001-12-03 2008-04-01 Xtent, Inc. Stent delivery apparatus and method
US7309350B2 (en) 2001-12-03 2007-12-18 Xtent, Inc. Apparatus and methods for deployment of vascular prostheses
US7892273B2 (en) 2001-12-03 2011-02-22 Xtent, Inc. Custom length stent apparatus
EP1465685B1 (fr) * 2001-12-20 2010-03-17 TriVascular2, Inc. Procede et appareil de fabrication d'une section de greffon endocoronaire
US6776604B1 (en) 2001-12-20 2004-08-17 Trivascular, Inc. Method and apparatus for shape forming endovascular graft material
US20100016943A1 (en) 2001-12-20 2010-01-21 Trivascular2, Inc. Method of delivering advanced endovascular graft
US7125464B2 (en) 2001-12-20 2006-10-24 Boston Scientific Santa Rosa Corp. Method for manufacturing an endovascular graft section
US7090693B1 (en) 2001-12-20 2006-08-15 Boston Scientific Santa Rosa Corp. Endovascular graft joint and method for manufacture
US6866679B2 (en) 2002-03-12 2005-03-15 Ev3 Inc. Everting stent and stent delivery system
GB0206061D0 (en) 2002-03-14 2002-04-24 Angiomed Ag Metal structure compatible with MRI imaging, and method of manufacturing such a structure
US6939369B2 (en) * 2002-04-03 2005-09-06 Cook Incorporated Intraluminal graft assembly and vessel repair system
US8721713B2 (en) * 2002-04-23 2014-05-13 Medtronic, Inc. System for implanting a replacement valve
US20040117004A1 (en) * 2002-05-16 2004-06-17 Osborne Thomas A. Stent and method of forming a stent with integral barbs
US7828839B2 (en) * 2002-05-16 2010-11-09 Cook Incorporated Flexible barb for anchoring a prosthesis
US7794492B2 (en) * 2002-05-20 2010-09-14 Kawasumi Laboratories, Inc. Stent and stent graft
US20040006380A1 (en) * 2002-07-05 2004-01-08 Buck Jerrick C. Stent delivery system
US7556643B2 (en) * 2002-07-24 2009-07-07 Boston Scientific Scimed, Inc. Graft inside stent
WO2004016199A1 (fr) 2002-08-15 2004-02-26 Gmp Cardiac Care, Inc. Endoprothese-greffon a rails
US8518096B2 (en) * 2002-09-03 2013-08-27 Lifeshield Sciences Llc Elephant trunk thoracic endograft and delivery system
WO2004024032A1 (fr) 2002-09-12 2004-03-25 Cook Incorporated Filtre recuperable
US8679517B2 (en) 2002-09-26 2014-03-25 Palmaz Scientific, Inc. Implantable materials having engineered surfaces made by vacuum deposition and method of making same
EP1551569B1 (fr) 2002-09-26 2017-05-10 Advanced Bio Prosthetic Surfaces, Ltd. Materiaux implantables a surfaces modifiees et leur procede de fabrication
US8268340B2 (en) 2002-09-26 2012-09-18 Advanced Bio Prosthetic Surfaces, Ltd. Implantable materials having engineered surfaces and method of making same
EP1549248A4 (fr) 2002-09-26 2015-11-25 Advanced Bio Prosthetic Surfac Films de l'alliage nitinol formes par depot sous vide et dotes d'une haute resistance, materiaux medicaux pour greffons a film mince et procede de fabrication correspondant
WO2004032805A1 (fr) * 2002-10-11 2004-04-22 Scimed Life Systems, Inc. Enveloppe-piege embolique
US20040111146A1 (en) * 2002-12-04 2004-06-10 Mccullagh Orla Stent-graft attachment
JP2006518625A (ja) * 2003-02-14 2006-08-17 サルヴィアック・リミテッド ステントデリバリ及び配置システム
US7025779B2 (en) 2003-02-26 2006-04-11 Scimed Life Systems, Inc. Endoluminal device having enhanced affixation characteristics
US20050049675A1 (en) * 2003-03-28 2005-03-03 Board Of Regents, The University Of Texas System Medical devices and related methods
US7717952B2 (en) * 2003-04-24 2010-05-18 Cook Incorporated Artificial prostheses with preferred geometries
US7625399B2 (en) * 2003-04-24 2009-12-01 Cook Incorporated Intralumenally-implantable frames
EP1615595B1 (fr) * 2003-04-24 2009-10-21 Cook Incorporated Prothese a valve artificielle, a dynamique d'ecoulement amelioree
US7658759B2 (en) * 2003-04-24 2010-02-09 Cook Incorporated Intralumenally implantable frames
US20040230289A1 (en) * 2003-05-15 2004-11-18 Scimed Life Systems, Inc. Sealable attachment of endovascular stent to graft
US7241308B2 (en) 2003-06-09 2007-07-10 Xtent, Inc. Stent deployment systems and methods
CA2527400A1 (fr) * 2003-06-12 2004-12-23 C.R. Bard, Inc. Catheter de pose d'un extenseur
US7533671B2 (en) 2003-08-08 2009-05-19 Spiration, Inc. Bronchoscopic repair of air leaks in a lung
DE10337739B4 (de) * 2003-08-12 2009-11-26 Jotec Gmbh Stent zur Implantation in ein Blutgefäß, insbesondere im Bereich des Aortenbogens
US20050049668A1 (en) * 2003-08-29 2005-03-03 Jones Donald K. Self-expanding stent and stent delivery system for treatment of vascular stenosis
US8500792B2 (en) 2003-09-03 2013-08-06 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US20070198078A1 (en) 2003-09-03 2007-08-23 Bolton Medical, Inc. Delivery system and method for self-centering a Proximal end of a stent graft
US11596537B2 (en) 2003-09-03 2023-03-07 Bolton Medical, Inc. Delivery system and method for self-centering a proximal end of a stent graft
US11259945B2 (en) 2003-09-03 2022-03-01 Bolton Medical, Inc. Dual capture device for stent graft delivery system and method for capturing a stent graft
US7291604B2 (en) 2003-09-03 2007-11-06 The General Hospital Corporation Methods of treating restenosis
US20080264102A1 (en) 2004-02-23 2008-10-30 Bolton Medical, Inc. Sheath Capture Device for Stent Graft Delivery System and Method for Operating Same
US8292943B2 (en) 2003-09-03 2012-10-23 Bolton Medical, Inc. Stent graft with longitudinal support member
US9198786B2 (en) 2003-09-03 2015-12-01 Bolton Medical, Inc. Lumen repair device with capture structure
US7763063B2 (en) 2003-09-03 2010-07-27 Bolton Medical, Inc. Self-aligning stent graft delivery system, kit, and method
RU2318474C1 (ru) * 2003-10-10 2008-03-10 Аршад КВАДРИ Система и способ эндолюминального протезирования разветвляющихся сосудов и сосудов с ответвлениями
US7192440B2 (en) * 2003-10-15 2007-03-20 Xtent, Inc. Implantable stent delivery devices and methods
US7056286B2 (en) 2003-11-12 2006-06-06 Adrian Ravenscroft Medical device anchor and delivery system
US7186265B2 (en) 2003-12-10 2007-03-06 Medtronic, Inc. Prosthetic cardiac valves and systems and methods for implanting thereof
US8579962B2 (en) 2003-12-23 2013-11-12 Sadra Medical, Inc. Methods and apparatus for performing valvuloplasty
US8603160B2 (en) 2003-12-23 2013-12-10 Sadra Medical, Inc. Method of using a retrievable heart valve anchor with a sheath
US7445631B2 (en) 2003-12-23 2008-11-04 Sadra Medical, Inc. Methods and apparatus for endovascularly replacing a patient's heart valve
US9005273B2 (en) 2003-12-23 2015-04-14 Sadra Medical, Inc. Assessing the location and performance of replacement heart valves
US8343213B2 (en) 2003-12-23 2013-01-01 Sadra Medical, Inc. Leaflet engagement elements and methods for use thereof
CN100589779C (zh) 2003-12-23 2010-02-17 萨德拉医学公司 可再定位的心脏瓣膜
US7824443B2 (en) 2003-12-23 2010-11-02 Sadra Medical, Inc. Medical implant delivery and deployment tool
US8182528B2 (en) 2003-12-23 2012-05-22 Sadra Medical, Inc. Locking heart valve anchor
US9526609B2 (en) 2003-12-23 2016-12-27 Boston Scientific Scimed, Inc. Methods and apparatus for endovascularly replacing a patient's heart valve
US7959666B2 (en) 2003-12-23 2011-06-14 Sadra Medical, Inc. Methods and apparatus for endovascularly replacing a heart valve
US8287584B2 (en) 2005-11-14 2012-10-16 Sadra Medical, Inc. Medical implant deployment tool
US7326236B2 (en) 2003-12-23 2008-02-05 Xtent, Inc. Devices and methods for controlling and indicating the length of an interventional element
US7329279B2 (en) 2003-12-23 2008-02-12 Sadra Medical, Inc. Methods and apparatus for endovascularly replacing a patient's heart valve
US11278398B2 (en) 2003-12-23 2022-03-22 Boston Scientific Scimed, Inc. Methods and apparatus for endovascular heart valve replacement comprising tissue grasping elements
US7780725B2 (en) 2004-06-16 2010-08-24 Sadra Medical, Inc. Everting heart valve
US8840663B2 (en) 2003-12-23 2014-09-23 Sadra Medical, Inc. Repositionable heart valve method
US7748389B2 (en) 2003-12-23 2010-07-06 Sadra Medical, Inc. Leaflet engagement elements and methods for use thereof
US20050137694A1 (en) 2003-12-23 2005-06-23 Haug Ulrich R. Methods and apparatus for endovascularly replacing a patient's heart valve
US7824442B2 (en) 2003-12-23 2010-11-02 Sadra Medical, Inc. Methods and apparatus for endovascularly replacing a heart valve
US7381219B2 (en) 2003-12-23 2008-06-03 Sadra Medical, Inc. Low profile heart valve and delivery system
US20050137687A1 (en) 2003-12-23 2005-06-23 Sadra Medical Heart valve anchor and method
US8828078B2 (en) 2003-12-23 2014-09-09 Sadra Medical, Inc. Methods and apparatus for endovascular heart valve replacement comprising tissue grasping elements
US20120041550A1 (en) 2003-12-23 2012-02-16 Sadra Medical, Inc. Methods and Apparatus for Endovascular Heart Valve Replacement Comprising Tissue Grasping Elements
US7402170B2 (en) * 2003-12-30 2008-07-22 Scimed Life Systems, Inc. Crimp and weld wire connection
US8337545B2 (en) 2004-02-09 2012-12-25 Cook Medical Technologies Llc Woven implantable device
US7323006B2 (en) 2004-03-30 2008-01-29 Xtent, Inc. Rapid exchange interventional devices and methods
US8216299B2 (en) 2004-04-01 2012-07-10 Cook Medical Technologies Llc Method to retract a body vessel wall with remodelable material
US8137393B2 (en) * 2004-04-16 2012-03-20 Kawasumi Laboratories, Inc. Stent graft indwelling device and fixed chip
WO2005118019A1 (fr) * 2004-05-28 2005-12-15 Cook Incorporated Structure support de valvule bioabsorbable implantable
US20050273151A1 (en) * 2004-06-04 2005-12-08 John Fulkerson Stent delivery system
US20050288766A1 (en) 2004-06-28 2005-12-29 Xtent, Inc. Devices and methods for controlling expandable prostheses during deployment
US8317859B2 (en) 2004-06-28 2012-11-27 J.W. Medical Systems Ltd. Devices and methods for controlling expandable prostheses during deployment
US7955373B2 (en) * 2004-06-28 2011-06-07 Boston Scientific Scimed, Inc. Two-stage stent-graft and method of delivering same
US20060030929A1 (en) * 2004-08-09 2006-02-09 Scimed Life Systems, Inc. Flap-cover aneurysm stent
US20060052867A1 (en) 2004-09-07 2006-03-09 Medtronic, Inc Replacement prosthetic heart valve, system and method of implant
CA2581855C (fr) 2004-09-28 2012-11-27 Cordis Corporation Dispositif medical a film mince et systeme de distribution
US20070179600A1 (en) * 2004-10-04 2007-08-02 Gil Vardi Stent graft including expandable cuff
US7331010B2 (en) * 2004-10-29 2008-02-12 International Business Machines Corporation System, method and storage medium for providing fault detection and correction in a memory subsystem
US8562672B2 (en) 2004-11-19 2013-10-22 Medtronic, Inc. Apparatus for treatment of cardiac valves and method of its manufacture
DE102005003632A1 (de) 2005-01-20 2006-08-17 Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. Katheter für die transvaskuläre Implantation von Herzklappenprothesen
US7740652B2 (en) 2005-03-30 2010-06-22 Boston Scientific Scimed, Inc. Catheter
US7962208B2 (en) 2005-04-25 2011-06-14 Cardiac Pacemakers, Inc. Method and apparatus for pacing during revascularization
US8652193B2 (en) 2005-05-09 2014-02-18 Angiomed Gmbh & Co. Medizintechnik Kg Implant delivery device
US8961586B2 (en) * 2005-05-24 2015-02-24 Inspiremd Ltd. Bifurcated stent assemblies
US8157851B2 (en) 2005-06-08 2012-04-17 Xtent, Inc. Apparatus and methods for deployment of multiple custom-length prostheses
ATE526911T1 (de) * 2005-08-17 2011-10-15 Bard Inc C R Stenteinbringungssystem mit variabler geschwindigkeit
US20070043420A1 (en) * 2005-08-17 2007-02-22 Medtronic Vascular, Inc. Apparatus and method for stent-graft release using a cap
WO2007022496A2 (fr) * 2005-08-19 2007-02-22 Icon Medical Corp. Instrument de deploiement de dispositif medical
AU2012258286B2 (en) * 2005-08-31 2014-09-04 Advanced Bio Prosthetic Surfaces, Ltd., A Wholly Owned Subsidiary Of Palmaz Scientific, Inc. Covered stent with proximal and distal attachment, delivery catheter, and method of making same
US8187318B2 (en) * 2005-08-31 2012-05-29 Advanced Bio Prosthetic Surfaces, Ltd. Covered stent with proximal and distal attachment, delivery catheter, and method of making same
US8043366B2 (en) 2005-09-08 2011-10-25 Boston Scientific Scimed, Inc. Overlapping stent
US7712606B2 (en) 2005-09-13 2010-05-11 Sadra Medical, Inc. Two-part package for medical implant
US8343204B2 (en) * 2005-10-31 2013-01-01 Cook Medical Technologies Llc Composite stent graft
US20070150042A1 (en) * 2005-12-05 2007-06-28 Balaji Malur R Stents with beveled ends and methods of use thereof
US20070213813A1 (en) 2005-12-22 2007-09-13 Symetis Sa Stent-valves for valve replacement and associated methods and systems for surgery
US9078781B2 (en) 2006-01-11 2015-07-14 Medtronic, Inc. Sterile cover for compressible stents used in percutaneous device delivery systems
CA2936205C (fr) 2006-01-13 2018-08-21 C.R. Bard, Inc. Systeme de mise en place d'une endoprothese
US11026822B2 (en) 2006-01-13 2021-06-08 C. R. Bard, Inc. Stent delivery system
WO2007084547A1 (fr) * 2006-01-18 2007-07-26 William A. Cook Australia Pty. Ltd. Dispositif d'apport endoluminal
US20070179586A1 (en) * 2006-01-31 2007-08-02 Gus Aguirre Deployment catheter for medical implant devices
EP1988851A2 (fr) 2006-02-14 2008-11-12 Sadra Medical, Inc. Systemes et procedes pour installer un implant medical
US8518098B2 (en) 2006-02-21 2013-08-27 Cook Medical Technologies Llc Split sheath deployment system
US8828077B2 (en) 2006-03-15 2014-09-09 Medinol Ltd. Flat process of preparing drug eluting stents
JP2009530060A (ja) 2006-03-20 2009-08-27 エックステント・インコーポレーテッド 連結されたプロテーゼセグメントの展開装置及び方法
US7625403B2 (en) 2006-04-04 2009-12-01 Medtronic Vascular, Inc. Valved conduit designed for subsequent catheter delivered valve therapy
US7524331B2 (en) 2006-04-06 2009-04-28 Medtronic Vascular, Inc. Catheter delivered valve having a barrier to provide an enhanced seal
US7740655B2 (en) 2006-04-06 2010-06-22 Medtronic Vascular, Inc. Reinforced surgical conduit for implantation of a stented valve therein
US7591848B2 (en) 2006-04-06 2009-09-22 Medtronic Vascular, Inc. Riveted stent valve for percutaneous use
US20070244541A1 (en) * 2006-04-18 2007-10-18 Medtronic Vascular, Inc., A Delaware Corporation Methods and Devices for Contributing to Improved Stent Graft Fixation
US20070282421A1 (en) * 2006-05-31 2007-12-06 Parker Fred T Stent Assembly for Protecting the Interior Surface of a Vessel
AU2007281553B2 (en) * 2006-07-31 2013-09-19 Edwards Lifesciences Cardiaq Llc Sealable endovascular implants and methods for their use
US9585743B2 (en) 2006-07-31 2017-03-07 Edwards Lifesciences Cardiaq Llc Surgical implant devices and methods for their manufacture and use
US9408607B2 (en) 2009-07-02 2016-08-09 Edwards Lifesciences Cardiaq Llc Surgical implant devices and methods for their manufacture and use
CN101500516B (zh) * 2006-08-02 2011-08-24 马尼株式会社 支架
GB0615658D0 (en) 2006-08-07 2006-09-13 Angiomed Ag Hand-held actuator device
US20080071343A1 (en) * 2006-09-15 2008-03-20 Kevin John Mayberry Multi-segmented graft deployment system
JP2010504820A (ja) * 2006-09-28 2010-02-18 クック・インコーポレイテッド 胸部大動脈瘤を修復するための装置および方法
MX2009004292A (es) 2006-10-22 2009-08-12 Idev Technologies Inc Dispositivos y metodos para el avance de stent.
EP3329882B1 (fr) 2006-10-22 2023-09-20 IDEV Technologies, INC. Procédés de fixation d'extrémités de brins et dispositifs obtenus
EP1935378B1 (fr) * 2006-12-19 2014-09-17 Sorin Group Italia S.r.l. Dispositif pour la mise en place d'une valve cardiaque
US8070799B2 (en) * 2006-12-19 2011-12-06 Sorin Biomedica Cardio S.R.L. Instrument and method for in situ deployment of cardiac valve prostheses
EP1935377B1 (fr) * 2006-12-19 2010-03-24 Sorin Biomedica Cardio S.R.L. Instrument pour le déploiement in situ de prothèses valvulaires cardiaques
US8523931B2 (en) 2007-01-12 2013-09-03 Endologix, Inc. Dual concentric guidewire and methods of bifurcated graft deployment
US20080199510A1 (en) 2007-02-20 2008-08-21 Xtent, Inc. Thermo-mechanically controlled implants and methods of use
US8486132B2 (en) 2007-03-22 2013-07-16 J.W. Medical Systems Ltd. Devices and methods for controlling expandable prostheses during deployment
US7896915B2 (en) 2007-04-13 2011-03-01 Jenavalve Technology, Inc. Medical device for treating a heart valve insufficiency
GB0713497D0 (en) 2007-07-11 2007-08-22 Angiomed Ag Device for catheter sheath retraction
US9119742B2 (en) * 2007-07-16 2015-09-01 Cook Medical Technologies Llc Prosthesis delivery and deployment device
US9814611B2 (en) 2007-07-31 2017-11-14 Edwards Lifesciences Cardiaq Llc Actively controllable stent, stent graft, heart valve and method of controlling same
US9566178B2 (en) 2010-06-24 2017-02-14 Edwards Lifesciences Cardiaq Llc Actively controllable stent, stent graft, heart valve and method of controlling same
US8747458B2 (en) 2007-08-20 2014-06-10 Medtronic Ventor Technologies Ltd. Stent loading tool and method for use thereof
US8114154B2 (en) 2007-09-07 2012-02-14 Sorin Biomedica Cardio S.R.L. Fluid-filled delivery system for in situ deployment of cardiac valve prostheses
US8808367B2 (en) * 2007-09-07 2014-08-19 Sorin Group Italia S.R.L. Prosthetic valve delivery system including retrograde/antegrade approach
US8663309B2 (en) 2007-09-26 2014-03-04 Trivascular, Inc. Asymmetric stent apparatus and method
US8066755B2 (en) 2007-09-26 2011-11-29 Trivascular, Inc. System and method of pivoted stent deployment
US8226701B2 (en) 2007-09-26 2012-07-24 Trivascular, Inc. Stent and delivery system for deployment thereof
CN101917929A (zh) 2007-10-04 2010-12-15 特里瓦斯库拉尔公司 用于低型面经皮递送的模块化脉管移植物
EP2194933B1 (fr) 2007-10-12 2016-05-04 Spiration, Inc. Procédé, système et appareil de chargement de valve
US8043301B2 (en) * 2007-10-12 2011-10-25 Spiration, Inc. Valve loader method, system, and apparatus
JP2011502582A (ja) * 2007-11-02 2011-01-27 インセプト，エルエルシー 血管穿刺を塞ぐ装置および方法
WO2009062264A1 (fr) * 2007-11-15 2009-05-22 Endogad Research Pty Limited Dispositif intraluminal hybride
US8083789B2 (en) 2007-11-16 2011-12-27 Trivascular, Inc. Securement assembly and method for expandable endovascular device
US8328861B2 (en) 2007-11-16 2012-12-11 Trivascular, Inc. Delivery system and method for bifurcated graft
US7846199B2 (en) 2007-11-19 2010-12-07 Cook Incorporated Remodelable prosthetic valve
US20090138065A1 (en) * 2007-11-28 2009-05-28 Wilson-Cook Medical Inc. Double loaded stent delivery system
US8246672B2 (en) * 2007-12-27 2012-08-21 Cook Medical Technologies Llc Endovascular graft with separately positionable and removable frame units
US7963987B2 (en) * 2007-12-28 2011-06-21 Cook Medical Technologies Llc Sequential implant delivery system
US8221494B2 (en) 2008-02-22 2012-07-17 Endologix, Inc. Apparatus and method of placement of a graft or graft system
US9044318B2 (en) 2008-02-26 2015-06-02 Jenavalve Technology Gmbh Stent for the positioning and anchoring of a valvular prosthesis
WO2011104269A1 (fr) 2008-02-26 2011-09-01 Jenavalve Technology Inc. Stent pour le positionnement et l'ancrage d'une prothèse valvulaire dans un site d'implantation dans le cœur d'un patient
US9101503B2 (en) 2008-03-06 2015-08-11 J.W. Medical Systems Ltd. Apparatus having variable strut length and methods of use
US20090234430A1 (en) * 2008-03-17 2009-09-17 James Fleming Weave modification for increased durability in graft material
US8313525B2 (en) 2008-03-18 2012-11-20 Medtronic Ventor Technologies, Ltd. Valve suturing and implantation procedures
US8236040B2 (en) 2008-04-11 2012-08-07 Endologix, Inc. Bifurcated graft deployment systems and methods
WO2009132141A1 (fr) * 2008-04-22 2009-10-29 Coherex Medical, Inc. Dispositif, système et procédé pour embolisation d’anévrisme
US8594809B2 (en) * 2008-04-25 2013-11-26 Medtronic, Inc. Passive fixation medical electrical lead
CN107961098A (zh) 2008-06-30 2018-04-27 波顿医疗公司 用于腹主动脉瘤的系统和方法
EP2293838B1 (fr) 2008-07-01 2012-08-08 Endologix, Inc. Système de cathéter
CA2731735A1 (fr) * 2008-07-22 2010-01-28 Microtherapeutics, Inc. Dispositif de remodelage vasculaire
US8574245B2 (en) 2008-08-13 2013-11-05 Silk Road Medical, Inc. Suture delivery device
US8795347B2 (en) 2008-09-25 2014-08-05 Advanced Bifurcation Systems, Inc. Methods and systems for treating a bifurcation with provisional side branch stenting
US8821562B2 (en) 2008-09-25 2014-09-02 Advanced Bifurcation Systems, Inc. Partially crimped stent
US8769796B2 (en) 2008-09-25 2014-07-08 Advanced Bifurcation Systems, Inc. Selective stent crimping
US11298252B2 (en) 2008-09-25 2022-04-12 Advanced Bifurcation Systems Inc. Stent alignment during treatment of a bifurcation
CN102215780B (zh) 2008-09-25 2015-10-14 高级分支系统股份有限公司 部分压接支架
CN102245256B (zh) 2008-10-10 2014-07-23 萨德拉医学公司 医疗装置以及用于输送医疗装置的输送系统
WO2010077676A1 (fr) 2008-12-08 2010-07-08 Elmaleh David R Système d'administration pour dispositif intra-vasculaire avec filet
CH700476A1 (de) * 2009-02-23 2010-08-31 Carag Ag Zuführsystem.
EP3284447B1 (fr) 2009-03-13 2020-05-20 Bolton Medical Inc. Système d'une prothèse endoluminale au niveau d'un site chirurgical
WO2010127040A1 (fr) 2009-04-28 2010-11-04 Endologix, Inc. Appareil et procédé de placement d'une greffe ou d'un système de greffe
JP2012525239A (ja) 2009-05-01 2012-10-22 エンドロジックス、インク 解離を治療するための経皮的な方法および装置（優先権情報および参照による組み入れ）
US10772717B2 (en) 2009-05-01 2020-09-15 Endologix, Inc. Percutaneous method and device to treat dissections
US8353953B2 (en) * 2009-05-13 2013-01-15 Sorin Biomedica Cardio, S.R.L. Device for the in situ delivery of heart valves
US9168105B2 (en) * 2009-05-13 2015-10-27 Sorin Group Italia S.R.L. Device for surgical interventions
US8403982B2 (en) * 2009-05-13 2013-03-26 Sorin Group Italia S.R.L. Device for the in situ delivery of heart valves
US8491646B2 (en) 2009-07-15 2013-07-23 Endologix, Inc. Stent graft
WO2011017123A2 (fr) 2009-07-27 2011-02-10 Endologix, Inc. Greffon de stent
WO2011022658A1 (fr) * 2009-08-20 2011-02-24 Cook Incorporated Appareil et système de chargement pour dispositifs médicaux intraluminaux expansibles
US20110093002A1 (en) * 2009-10-20 2011-04-21 Wilson-Cook Medical Inc. Stent-within-stent arrangements
EP2496189A4 (fr) 2009-11-04 2016-05-11 Nitinol Devices And Components Inc Conception de stent de pontage périphérique alternatif et procédé pour son utilisation
US9649211B2 (en) 2009-11-04 2017-05-16 Confluent Medical Technologies, Inc. Alternating circumferential bridge stent design and methods for use thereof
WO2011073968A1 (fr) * 2009-12-18 2011-06-23 Vysera Biomedical Limited Système d'administration de médicament
WO2011119883A1 (fr) 2010-03-24 2011-09-29 Advanced Bifurcation Systems, Inc. Alignement de stent pendant le traitement d'une bifurcation
CA2794080A1 (fr) 2010-03-24 2011-09-29 Advanced Bifurcation Systems, Inc. Systeme et procede pour traiter une bifurcation
JP2013526388A (ja) 2010-05-25 2013-06-24 イエナバルブ テクノロジー インク 人工心臓弁、及び人工心臓弁とステントを備える経カテーテル搬送体内プロテーゼ
US9023095B2 (en) 2010-05-27 2015-05-05 Idev Technologies, Inc. Stent delivery system with pusher assembly
US8545571B2 (en) 2010-07-30 2013-10-01 Howmedica Osteonics Corp. Stabilized knee prosthesis
CN106073946B (zh) 2010-09-10 2022-01-04 西美蒂斯股份公司 瓣膜置换装置、用于瓣膜置换装置的递送装置以及瓣膜置换装置的生产方法
GB201017834D0 (en) 2010-10-21 2010-12-01 Angiomed Ag System to deliver a bodily implant
JP6261339B2 (ja) 2010-11-02 2018-01-17 エンドロジックス、インク グラフトまたはグラフトシステムの配置の器具および方法
CN103298433B (zh) 2010-11-17 2016-03-16 波士顿科学西美德公司 支架输送系统和用于与支架输送系统一起使用的锁定部件
EP2640324B1 (fr) 2010-11-17 2015-02-18 Boston Scientific Scimed, Inc. Système de pose d'endoprothèse
EP3375413A1 (fr) 2010-11-17 2018-09-19 Boston Scientific Scimed, Inc. Système de mise en place d'endoprothèse
WO2012068298A1 (fr) 2010-11-17 2012-05-24 Endologix, Inc. Dispositifs et procédés de traitement de dissections vasculaires
EP2672932B1 (fr) 2011-02-08 2018-09-19 Advanced Bifurcation Systems, Inc. Système pour traiter une bifurcation à l'aide d'une endoprothèse totalement sertie
WO2012109382A2 (fr) 2011-02-08 2012-08-16 Advanced Bifurcation Systems, Inc. Appareil comprenant lusieurs endoprothèses et plusieurs ballonnets pour traiter des bifurcations et procédés d'utilisation
WO2012118901A1 (fr) 2011-03-01 2012-09-07 Endologix, Inc. Système de cathéter et ses procédés d'utilisation
EP2688516B1 (fr) 2011-03-21 2022-08-17 Cephea Valve Technologies, Inc. Appareil pour valvule à disques
US8728563B2 (en) 2011-05-03 2014-05-20 Palmaz Scientific, Inc. Endoluminal implantable surfaces, stents, and grafts and method of making same
EP2520251A1 (fr) 2011-05-05 2012-11-07 Symetis SA Procédé et appareil pour compresser des valvules d'endoprothèse
US8795241B2 (en) 2011-05-13 2014-08-05 Spiration, Inc. Deployment catheter
US9101507B2 (en) 2011-05-18 2015-08-11 Ralph F. Caselnova Apparatus and method for proximal-to-distal endoluminal stent deployment
US20120303048A1 (en) 2011-05-24 2012-11-29 Sorin Biomedica Cardio S.R.I. Transapical valve replacement
CA2835893C (fr) 2011-07-12 2019-03-19 Boston Scientific Scimed, Inc. Systeme de couplage pour dispositifs medicaux
US11185403B2 (en) 2011-08-31 2021-11-30 Cook Medical Technologies Llc Endoluminal prosthesis assembly
US9216076B2 (en) * 2011-09-09 2015-12-22 Endoluminal Sciences Pty. Ltd. Means for controlled sealing of endovascular devices
US9827093B2 (en) 2011-10-21 2017-11-28 Edwards Lifesciences Cardiaq Llc Actively controllable stent, stent graft, heart valve and method of controlling same
EP2773299B1 (fr) 2011-11-02 2016-07-27 Boston Scientific Scimed, Inc. Systèmes de pose de stent et procédés d'utilisation
US9131926B2 (en) 2011-11-10 2015-09-15 Boston Scientific Scimed, Inc. Direct connect flush system
US8940014B2 (en) 2011-11-15 2015-01-27 Boston Scientific Scimed, Inc. Bond between components of a medical device
US8951243B2 (en) 2011-12-03 2015-02-10 Boston Scientific Scimed, Inc. Medical device handle
US9277993B2 (en) 2011-12-20 2016-03-08 Boston Scientific Scimed, Inc. Medical device delivery systems
US9510945B2 (en) 2011-12-20 2016-12-06 Boston Scientific Scimed Inc. Medical device handle
US10172708B2 (en) 2012-01-25 2019-01-08 Boston Scientific Scimed, Inc. Valve assembly with a bioabsorbable gasket and a replaceable valve implant
US10940167B2 (en) 2012-02-10 2021-03-09 Cvdevices, Llc Methods and uses of biological tissues for various stent and other medical applications
US9072624B2 (en) 2012-02-23 2015-07-07 Covidien Lp Luminal stenting
US20130226278A1 (en) * 2012-02-23 2013-08-29 Tyco Healthcare Group Lp Methods and apparatus for luminal stenting
US8992595B2 (en) 2012-04-04 2015-03-31 Trivascular, Inc. Durable stent graft with tapered struts and stable delivery methods and devices
US9498363B2 (en) * 2012-04-06 2016-11-22 Trivascular, Inc. Delivery catheter for endovascular device
WO2013154749A1 (fr) 2012-04-12 2013-10-17 Bolton Medical, Inc. Dispositif de mise en place d'une prothèse vasculaire et son procédé d'utilisation
US9078659B2 (en) 2012-04-23 2015-07-14 Covidien Lp Delivery system with hooks for resheathability
US9883941B2 (en) 2012-06-19 2018-02-06 Boston Scientific Scimed, Inc. Replacement heart valve
US9724222B2 (en) 2012-07-20 2017-08-08 Covidien Lp Resheathable stent delivery system
AU2014214700B2 (en) 2013-02-11 2018-01-18 Cook Medical Technologies Llc Expandable support frame and medical device
US10561509B2 (en) 2013-03-13 2020-02-18 DePuy Synthes Products, Inc. Braided stent with expansion ring and method of delivery
US10603157B2 (en) 2013-03-13 2020-03-31 DePuy Synthes Products, Inc. Braid implant delivery and retraction device with distal engagement
GB2526034B (en) 2013-03-14 2020-03-04 Spiration Inc Valve loader method, system and apparatus
US9439751B2 (en) 2013-03-15 2016-09-13 Bolton Medical, Inc. Hemostasis valve and delivery systems
US11291573B2 (en) 2013-03-15 2022-04-05 Cook Medical Technologies Llc Delivery system for a self-expanding medical device
US8870948B1 (en) 2013-07-17 2014-10-28 Cephea Valve Technologies, Inc. System and method for cardiac valve repair and replacement
US10130500B2 (en) 2013-07-25 2018-11-20 Covidien Lp Methods and apparatus for luminal stenting
US9474639B2 (en) 2013-08-27 2016-10-25 Covidien Lp Delivery of medical devices
US9782186B2 (en) 2013-08-27 2017-10-10 Covidien Lp Vascular intervention system
CN105491978A (zh) 2013-08-30 2016-04-13 耶拿阀门科技股份有限公司 用于假体瓣膜的径向可折叠框架及其制造方法
US9592139B2 (en) * 2013-10-04 2017-03-14 Covidien Lp Stents twisted prior to deployment and untwisted during deployment
EP2898920B1 (fr) 2014-01-24 2018-06-06 Cook Medical Technologies LLC Cathéter à ballonnet articulé
US11027106B2 (en) 2014-01-26 2021-06-08 Butterfly Medical Ltd. Dilating device and method for prostatic urethra
US10016292B2 (en) 2014-04-18 2018-07-10 Covidien Lp Stent delivery system
US9814563B1 (en) * 2014-04-25 2017-11-14 David M. Hoganson Hemodynamically optimized shunt
CA2947896A1 (fr) 2014-05-23 2015-11-26 Boston Scientific Scimed, Inc. Systeme de deploiement integrant l'application d'un adhesif
US10206796B2 (en) 2014-08-27 2019-02-19 DePuy Synthes Products, Inc. Multi-strand implant with enhanced radiopacity
US9901445B2 (en) 2014-11-21 2018-02-27 Boston Scientific Scimed, Inc. Valve locking mechanism
US9439757B2 (en) 2014-12-09 2016-09-13 Cephea Valve Technologies, Inc. Replacement cardiac valves and methods of use and manufacture
WO2016115375A1 (fr) 2015-01-16 2016-07-21 Boston Scientific Scimed, Inc. Mécanisme de libération et de verrouillage en fonction d'un déplacement
US10159587B2 (en) 2015-01-16 2018-12-25 Boston Scientific Scimed, Inc. Medical device delivery system with force reduction member
US9861477B2 (en) 2015-01-26 2018-01-09 Boston Scientific Scimed Inc. Prosthetic heart valve square leaflet-leaflet stitch
WO2016126524A1 (fr) 2015-02-03 2016-08-11 Boston Scientific Scimed, Inc. Valve cardiaque prothétique à joint tubulaire
US9788942B2 (en) 2015-02-03 2017-10-17 Boston Scientific Scimed Inc. Prosthetic heart valve having tubular seal
US20160242943A1 (en) * 2015-02-20 2016-08-25 Cook Medical Technologies Llc Duet stent deployment system and method of performing a transjugular intrahepatic portosystemic shunting procedure using same
US10426617B2 (en) 2015-03-06 2019-10-01 Boston Scientific Scimed, Inc. Low profile valve locking mechanism and commissure assembly
US10285809B2 (en) 2015-03-06 2019-05-14 Boston Scientific Scimed Inc. TAVI anchoring assist device
US10080652B2 (en) 2015-03-13 2018-09-25 Boston Scientific Scimed, Inc. Prosthetic heart valve having an improved tubular seal
CA2980316A1 (fr) 2015-03-24 2016-09-29 Osiris Therapeutics, Inc. Compositions contenant des tissus meniscaux et leurs utilisations
US10709555B2 (en) 2015-05-01 2020-07-14 Jenavalve Technology, Inc. Device and method with reduced pacemaker rate in heart valve replacement
WO2016183526A1 (fr) 2015-05-14 2016-11-17 Cephea Valve Technologies, Inc. Valvules mitrales de remplacement
EP3294220B1 (fr) 2015-05-14 2023-12-06 Cephea Valve Technologies, Inc. Dispositifs et systèmes de mise en place de valve cardiaque
JP2018524025A (ja) 2015-06-30 2018-08-30 エンドロジックス、インク ガイドワイヤを送出システムに結合するためのロックアセンブリ
US10195392B2 (en) 2015-07-02 2019-02-05 Boston Scientific Scimed, Inc. Clip-on catheter
WO2017004377A1 (fr) 2015-07-02 2017-01-05 Boston Scientific Scimed, Inc. Cône avant réglable
PT3328317T (pt) * 2015-07-29 2023-02-06 Butterfly Medical Ltd Retração ou/e suporte de tecido periuretral
US10136991B2 (en) 2015-08-12 2018-11-27 Boston Scientific Scimed Inc. Replacement heart valve implant
US10179041B2 (en) 2015-08-12 2019-01-15 Boston Scientific Scimed Icn. Pinless release mechanism
US10596330B2 (en) 2015-08-26 2020-03-24 Medtronic Xomed, Inc. Resorbable, drug-eluting submucosal turbinate implant device and method
US10779940B2 (en) 2015-09-03 2020-09-22 Boston Scientific Scimed, Inc. Medical device handle
US10004617B2 (en) 2015-10-20 2018-06-26 Cook Medical Technologies Llc Woven stent device and manufacturing method
US11351048B2 (en) 2015-11-16 2022-06-07 Boston Scientific Scimed, Inc. Stent delivery systems with a reinforced deployment sheath
US10342660B2 (en) 2016-02-02 2019-07-09 Boston Scientific Inc. Tensioned sheathing aids
EP3419568B1 (fr) 2016-02-26 2021-09-08 Boston Scientific Scimed, Inc. Systèmes de pose d'endoprothèse à profil réduit
AU2017229496B2 (en) 2016-03-09 2022-03-31 CARDIONOMIC, Inc. Cardiac contractility neurostimulation systems and methods
US10022255B2 (en) 2016-04-11 2018-07-17 Idev Technologies, Inc. Stent delivery system having anisotropic sheath
US10583005B2 (en) 2016-05-13 2020-03-10 Boston Scientific Scimed, Inc. Medical device handle
EP3454795B1 (fr) 2016-05-13 2023-01-11 JenaValve Technology, Inc. Système d'implantation de prothèse de valve cardiaque pour la pose d'une prothèse de valve cardiaque avec une gaine d'introduction et système de chargement
US10245136B2 (en) 2016-05-13 2019-04-02 Boston Scientific Scimed Inc. Containment vessel with implant sheathing guide
US10201416B2 (en) 2016-05-16 2019-02-12 Boston Scientific Scimed, Inc. Replacement heart valve implant with invertible leaflets
US11331187B2 (en) 2016-06-17 2022-05-17 Cephea Valve Technologies, Inc. Cardiac valve delivery devices and systems
US10828152B2 (en) 2016-08-11 2020-11-10 4C Medical Technologies, Inc. Heart chamber prosthetic valve implant with base, spring and dome sections with single chamber anchoring for preservation, supplementation and/or replacement of native valve function
US10076428B2 (en) 2016-08-25 2018-09-18 DePuy Synthes Products, Inc. Expansion ring for a braided stent
US10292851B2 (en) 2016-09-30 2019-05-21 DePuy Synthes Products, Inc. Self-expanding device delivery apparatus with dual function bump
US10376396B2 (en) 2017-01-19 2019-08-13 Covidien Lp Coupling units for medical device delivery systems
CR20190381A (es) 2017-01-23 2019-09-27 Cephea Valve Tech Inc Valvulas mitrales de reemplazo
AU2018203053B2 (en) 2017-01-23 2020-03-05 Cephea Valve Technologies, Inc. Replacement mitral valves
US10561495B2 (en) 2017-01-24 2020-02-18 4C Medical Technologies, Inc. Systems, methods and devices for two-step delivery and implantation of prosthetic heart valve
CN110392557A (zh) 2017-01-27 2019-10-29 耶拿阀门科技股份有限公司 心脏瓣膜模拟
US10940030B2 (en) 2017-03-10 2021-03-09 Serenity Medical, Inc. Method and system for delivering a self-expanding stent to the venous sinuses
EP3634311A1 (fr) 2017-06-08 2020-04-15 Boston Scientific Scimed, Inc. Structure de support de commissure d'implant de valvule cardiaque
EP3661458A1 (fr) 2017-08-01 2020-06-10 Boston Scientific Scimed, Inc. Mécanisme de verrouillage d'implant médical
EP3668449A1 (fr) 2017-08-16 2020-06-24 Boston Scientific Scimed, Inc. Ensemble commissure de valvule cardiaque de remplacement
EP3664703A4 (fr) 2017-09-13 2021-05-12 Cardionomic, Inc. Systèmes de neurostimulation et procédés pour affecter la contractilité cardiaque
WO2019140016A1 (fr) 2018-01-10 2019-07-18 Boston Scientific Scimed, Inc. Système de pose d'endoprothèse avec mécanisme de déploiement déplaçable
EP3510977A1 (fr) * 2018-01-10 2019-07-17 Cook Medical Technologies LLC Ensemble de dispositif d'administration endoluminale
US10959864B2 (en) 2018-01-11 2021-03-30 Cook Medical Technologies Llc Barbed wire stent
WO2019144071A1 (fr) 2018-01-19 2019-07-25 Boston Scientific Scimed, Inc. Système de pose de dispositif médical à boucle de rétroaction
JP7055882B2 (ja) 2018-01-19 2022-04-18 ボストン サイエンティフィック サイムド，インコーポレイテッド トランスカテーテル弁システム用誘導モード留置センサ
US11147668B2 (en) 2018-02-07 2021-10-19 Boston Scientific Scimed, Inc. Medical device delivery system with alignment feature
US11439732B2 (en) 2018-02-26 2022-09-13 Boston Scientific Scimed, Inc. Embedded radiopaque marker in adaptive seal
US10786377B2 (en) 2018-04-12 2020-09-29 Covidien Lp Medical device delivery
US11071637B2 (en) 2018-04-12 2021-07-27 Covidien Lp Medical device delivery
US11413176B2 (en) 2018-04-12 2022-08-16 Covidien Lp Medical device delivery
US11123209B2 (en) 2018-04-12 2021-09-21 Covidien Lp Medical device delivery
US11229517B2 (en) 2018-05-15 2022-01-25 Boston Scientific Scimed, Inc. Replacement heart valve commissure assembly
AU2018424859B2 (en) 2018-05-23 2024-04-04 Corcym S.R.L. A cardiac valve prosthesis
US10441449B1 (en) 2018-05-30 2019-10-15 Vesper Medical, Inc. Rotary handle stent delivery system and method
US11241310B2 (en) 2018-06-13 2022-02-08 Boston Scientific Scimed, Inc. Replacement heart valve delivery device
AU2019204522A1 (en) 2018-07-30 2020-02-13 DePuy Synthes Products, Inc. Systems and methods of manufacturing and using an expansion ring
US10278848B1 (en) 2018-08-06 2019-05-07 DePuy Synthes Products, Inc. Stent delivery with expansion assisting delivery wire
US10456280B1 (en) 2018-08-06 2019-10-29 DePuy Synthes Products, Inc. Systems and methods of using a braided implant
IL268468A (en) 2018-08-06 2020-02-27 Depuy Synthes Products Inc Device for delivery and withdrawal of a braided implant with distal attachment
JP2021535776A (ja) 2018-08-13 2021-12-23 カーディオノミック，インク． 心収縮及び／又は弛緩に作用するシステムおよび方法
US11278391B2 (en) 2018-08-30 2022-03-22 Cook Medical Technologies Llc Graft having at least one woven taper
US11857441B2 (en) 2018-09-04 2024-01-02 4C Medical Technologies, Inc. Stent loading device
US10449073B1 (en) 2018-09-18 2019-10-22 Vesper Medical, Inc. Rotary handle stent delivery system and method
WO2020123486A1 (fr) 2018-12-10 2020-06-18 Boston Scientific Scimed, Inc. Système d'administration de dispositif médical comprenant un élément de résistance
US11039944B2 (en) 2018-12-27 2021-06-22 DePuy Synthes Products, Inc. Braided stent system with one or more expansion rings
EP3923874A1 (fr) 2019-02-13 2021-12-22 Boston Scientific Scimed Inc. Systèmes d'implantation d'endoprothèse
US11690705B2 (en) 2019-03-15 2023-07-04 Cook Medical Technologies Llc Graft having a pocket for receiving a stent and woven graft material, forming a pocket
JP2022525788A (ja) 2019-03-20 2022-05-19 インキュベート メディカル テクノロジーズ、 エルエルシー 大動脈解離インプラント
JP2022531658A (ja) 2019-05-06 2022-07-08 カーディオノミック，インク． 電気神経調節中に生理学的信号をノイズ除去するためのシステムおよび方法
US11439504B2 (en) 2019-05-10 2022-09-13 Boston Scientific Scimed, Inc. Replacement heart valve with improved cusp washout and reduced loading
US11413174B2 (en) 2019-06-26 2022-08-16 Covidien Lp Core assembly for medical device delivery systems
US11931253B2 (en) 2020-01-31 2024-03-19 4C Medical Technologies, Inc. Prosthetic heart valve delivery system: ball-slide attachment
US11219541B2 (en) 2020-05-21 2022-01-11 Vesper Medical, Inc. Wheel lock for thumbwheel actuated device
US11944558B2 (en) 2021-08-05 2024-04-02 Covidien Lp Medical device delivery devices, systems, and methods
US11565104B1 (en) * 2021-08-09 2023-01-31 Yossi Gross Magnetically-driven reciprocating intravascular blood pump
CN116251289B (zh) * 2022-10-25 2023-12-01 心擎医疗（苏州）股份有限公司 导管泵及折叠导管泵的泵头的方法

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2714816A1 (fr) * 1994-01-12 1995-07-13 Braun Celsa Sa Prothèse vasculaire implantable dans un organisme vivant pour le traitement des anévrismes.
US5507771A (en) * 1992-06-15 1996-04-16 Cook Incorporated Stent assembly
FR2737404A1 (fr) * 1995-08-03 1997-02-07 Braun Celsa Sa Prothese implantable dans un conduit humain ou animal, telle qu'un elargisseur de paroi, ou une prothese pour anevrisme
WO1997024081A1 (fr) * 1995-12-29 1997-07-10 Ramus Medical Technologies Procede et dispositif pour la constitution de protheses vasculaires
US5713917A (en) * 1995-10-30 1998-02-03 Leonhardt; Howard J. Apparatus and method for engrafting a blood vessel

Family Cites Families (66)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3625745A (en) * 1970-03-18 1971-12-07 Gen Electric Antithrombogenic article and process
SE445884B (sv) * 1982-04-30 1986-07-28 Medinvent Sa Anordning for implantation av en rorformig protes
US4643184A (en) * 1982-09-29 1987-02-17 Mobin Uddin Kazi Embolus trap
US4512338A (en) 1983-01-25 1985-04-23 Balko Alexander B Process for restoring patency to body vessels
US5669936A (en) 1983-12-09 1997-09-23 Endovascular Technologies, Inc. Endovascular grafting system and method for use therewith
US5104399A (en) 1986-12-10 1992-04-14 Endovascular Technologies, Inc. Artificial graft and implantation method
US5275622A (en) 1983-12-09 1994-01-04 Harrison Medical Technologies, Inc. Endovascular grafting apparatus, system and method and devices for use therewith
US4580568A (en) 1984-10-01 1986-04-08 Cook, Incorporated Percutaneous endovascular stent and method for insertion thereof
US4651738A (en) 1985-08-02 1987-03-24 Baylor College Of Medicine Method and device for performing transluminal angioplasty
US5102417A (en) * 1985-11-07 1992-04-07 Expandable Grafts Partnership Expandable intraluminal graft, and method and apparatus for implanting an expandable intraluminal graft
US4733665C2 (en) * 1985-11-07 2002-01-29 Expandable Grafts Partnership Expandable intraluminal graft and method and apparatus for implanting an expandable intraluminal graft
US4665918A (en) 1986-01-06 1987-05-19 Garza Gilbert A Prosthesis system and method
SE454482B (sv) 1986-09-30 1988-05-09 Medinvent Sa Anordning for implantation
US5133732A (en) * 1987-10-19 1992-07-28 Medtronic, Inc. Intravascular stent
US5092877A (en) 1988-09-01 1992-03-03 Corvita Corporation Radially expandable endoprosthesis
SE8803444D0 (sv) 1988-09-28 1988-09-28 Medinvent Sa A device for transluminal implantation or extraction
CA1322628C (fr) * 1988-10-04 1993-10-05 Richard A. Schatz Greffon vasculaire intraluminal
CA2026604A1 (fr) * 1989-10-02 1991-04-03 Rodney G. Wolff Drain articule
US5035706A (en) 1989-10-17 1991-07-30 Cook Incorporated Percutaneous stent and method for retrieval thereof
JPH067843B2 (ja) 1990-02-15 1994-02-02 寛治 井上 フレーム付き人工血管
US5545208A (en) * 1990-02-28 1996-08-13 Medtronic, Inc. Intralumenal drug eluting prosthesis
US5242399A (en) 1990-04-25 1993-09-07 Advanced Cardiovascular Systems, Inc. Method and system for stent delivery
US5158548A (en) 1990-04-25 1992-10-27 Advanced Cardiovascular Systems, Inc. Method and system for stent delivery
US5360443A (en) * 1990-06-11 1994-11-01 Barone Hector D Aortic graft for repairing an abdominal aortic aneurysm
US5578071A (en) * 1990-06-11 1996-11-26 Parodi; Juan C. Aortic graft
US5064435A (en) 1990-06-28 1991-11-12 Schneider (Usa) Inc. Self-expanding prosthesis having stable axial length
AR246020A1 (es) * 1990-10-03 1994-03-30 Hector Daniel Barone Juan Carl Un dispositivo de balon para implantar una protesis intraluminal aortica para reparar aneurismas.
DK0480667T3 (da) 1990-10-09 1996-06-10 Cook Inc Perkutan stentkonstruktion
CA2060067A1 (fr) 1991-01-28 1992-07-29 Lilip Lau Systeme de placement d'un extenseur
US5135536A (en) * 1991-02-05 1992-08-04 Cordis Corporation Endovascular stent and method
US5628783A (en) 1991-04-11 1997-05-13 Endovascular Technologies, Inc. Bifurcated multicapsule intraluminal grafting system and method
CA2065634C (fr) 1991-04-11 1997-06-03 Alec A. Piplani Greffon endovasculaire ayant une bifurcation et appareil et methode servant a le deployer
SE467948B (sv) 1991-06-14 1992-10-12 Ams Medinvent Sa Anordning foer transluminal uttagning eller implantation av en stent samt apparat innefattande en dylik anordning
ATE157525T1 (de) 1991-10-11 1997-09-15 Angiomed Ag Vorrichtung zum aufweiten einer stenose
AU669338B2 (en) * 1991-10-25 1996-06-06 Cook Incorporated Expandable transluminal graft prosthesis for repair of aneurysm and method for implanting
US5395349A (en) 1991-12-13 1995-03-07 Endovascular Technologies, Inc. Dual valve reinforced sheath and method
US5201757A (en) 1992-04-03 1993-04-13 Schneider (Usa) Inc. Medial region deployment of radially self-expanding stents
US5195058A (en) 1992-04-30 1993-03-16 The United States Of America As Represented By The Secretary Of The Air Force Ultrasonic method for non-intrusive low liquid level sensing
US5772668A (en) * 1992-06-18 1998-06-30 American Biomed, Inc. Apparatus for placing an endoprosthesis
US5707376A (en) * 1992-08-06 1998-01-13 William Cook Europe A/S Stent introducer and method of use
US5480423A (en) 1993-05-20 1996-01-02 Boston Scientific Corporation Prosthesis delivery
US5458615A (en) 1993-07-06 1995-10-17 Advanced Cardiovascular Systems, Inc. Stent delivery system
ES2157977T3 (es) * 1993-07-23 2001-09-01 Cook Inc Sonda flexible que tiene una configuracion conformada a partir de una hoja de material.
GB2281865B (en) * 1993-09-16 1997-07-30 Cordis Corp Endoprosthesis having multiple laser welded junctions,method and procedure
DE69419877T2 (de) * 1993-11-04 1999-12-16 Bard Inc C R Ortsfeste Gefässprothese
US5443477A (en) 1994-02-10 1995-08-22 Stentco, Inc. Apparatus and method for deployment of radially expandable stents by a mechanical linkage
US5507769A (en) 1994-10-18 1996-04-16 Stentco, Inc. Method and apparatus for forming an endoluminal bifurcated graft
US5549663A (en) 1994-03-09 1996-08-27 Cordis Corporation Endoprosthesis having graft member and exposed welded end junctions, method and procedure
US6165210A (en) * 1994-04-01 2000-12-26 Gore Enterprise Holdings, Inc. Self-expandable helical intravascular stent and stent-graft
AU708360B2 (en) * 1994-09-15 1999-08-05 C.R. Bard Inc. Hooked endoprosthesis
CA2163823A1 (fr) * 1994-11-28 1996-05-29 Richard S. Stack Systeme et methode pour l'insertion d'extenseurs multiples
US5683449A (en) 1995-02-24 1997-11-04 Marcade; Jean Paul Modular bifurcated intraluminal grafts and methods for delivering and assembling same
US5662675A (en) 1995-02-24 1997-09-02 Intervascular, Inc. Delivery catheter assembly
CA2171896C (fr) 1995-03-17 2007-05-15 Scott C. Anderson Extenseur a ancrage multiple
EP0831753B1 (fr) * 1995-06-01 2005-12-28 Meadox Medicals, Inc. Prothese intraluminale implantable
US5619891A (en) 1995-11-06 1997-04-15 Beere Precision Medical Instruments, Inc. Ratcheting screwdriver
US5913896A (en) * 1995-11-28 1999-06-22 Medtronic, Inc. Interwoven dual sinusoidal helix stent
FR2743302B1 (fr) * 1996-01-08 1998-03-27 Denis Jean Marc Dispositif pour la mise en place d'une endoprothese aorto-iliaque
US5626608A (en) 1996-03-29 1997-05-06 United States Surgical Corporation Surgical instrument having locking handle
US5709701A (en) * 1996-05-30 1998-01-20 Parodi; Juan C. Apparatus for implanting a prothesis within a body passageway
US5860998A (en) * 1996-11-25 1999-01-19 C. R. Bard, Inc. Deployment device for tubular expandable prosthesis
US5735873A (en) 1996-12-19 1998-04-07 Maclean; David S. Surgical tool handle
US5720735A (en) * 1997-02-12 1998-02-24 Dorros; Gerald Bifurcated endovascular catheter
US5830229A (en) * 1997-03-07 1998-11-03 Micro Therapeutics Inc. Hoop stent
FR2775182B1 (fr) * 1998-02-25 2000-07-28 Legona Anstalt Dispositif formant andoprothese intracorporelle endoluminale, en particulier aortique abdominale
US6280467B1 (en) * 1998-02-26 2001-08-28 World Medical Manufacturing Corporation Delivery system for deployment and endovascular assembly of a multi-stage stented graft

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5507771A (en) * 1992-06-15 1996-04-16 Cook Incorporated Stent assembly
FR2714816A1 (fr) * 1994-01-12 1995-07-13 Braun Celsa Sa Prothèse vasculaire implantable dans un organisme vivant pour le traitement des anévrismes.
FR2737404A1 (fr) * 1995-08-03 1997-02-07 Braun Celsa Sa Prothese implantable dans un conduit humain ou animal, telle qu'un elargisseur de paroi, ou une prothese pour anevrisme
US5713917A (en) * 1995-10-30 1998-02-03 Leonhardt; Howard J. Apparatus and method for engrafting a blood vessel
WO1997024081A1 (fr) * 1995-12-29 1997-07-10 Ramus Medical Technologies Procede et dispositif pour la constitution de protheses vasculaires

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of WO9943378A1 *

Also Published As

Publication number Publication date
CA2321204C (fr) 2008-09-30
US6280467B1 (en) 2001-08-28
US6572645B2 (en) 2003-06-03
AU2881699A (en) 1999-09-15
WO1999043379A9 (fr) 1999-11-25
WO1999043379A1 (fr) 1999-09-02
US20020029075A1 (en) 2002-03-07
EP1061985A1 (fr) 2000-12-27
EP1061985B1 (fr) 2013-05-01
EP1061985A4 (fr) 2005-03-09
CA2321204A1 (fr) 1999-09-02
WO1999043378A1 (fr) 1999-09-02
EP0984811A4 (fr) 2005-03-09
US6123723A (en) 2000-09-26

Similar Documents

Publication Publication Date Title
US6572645B2 (en) Delivery system for development and endovascular assembly of a multi-stage stented graft
US10765505B2 (en) Aortic graft device
EP0975277B1 (fr) Prothese endovasculaire a joint antifuites
EP1278482B1 (fr) Endoprothese vasculaire
US8734501B2 (en) Composite stent graft
EP1673038B1 (fr) Extenseurs-greffons fenestres
US6695877B2 (en) Bifurcated stent
EP1776066B1 (fr) Stent pourvu d'entretoises arquées
US5824040A (en) Endoluminal prostheses and therapies for highly variable body lumens
US20040215324A1 (en) Stent assembly
EP1263348B1 (fr) Prothese intravasculaire
JPH11506034A (ja) 膨張可能で分岐した支持内腔移植片
CA2426444A1 (fr) Dispositifs prothetiques endovasculaires dotes de structures a crochets et a boucles
US7556643B2 (en) Graft inside stent
AU2005200837B2 (en) Kink resistant bifurcated prosthesis

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

17P Request for examination filed

Effective date: 19991023

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): DE FR GB NL

A4 Supplementary search report drawn up and despatched

Effective date: 20050126

RIC1 Information provided on ipc code assigned before grant

Ipc: 7A 61F 2/06 B

Ipc: 7A 61M 29/00 A

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN

18D Application deemed to be withdrawn

Effective date: 20060829